Objectives: To study the epidemiological profile and the prognosis of the retro-\nplacental hematoma (HRP) at the maternity ward at Kolda Regional Hospital\nCenter. Materials and methods: This was a retrospective descriptive\ncross-sectional study conducted over a period of 11 years: from January 1st,\n2006 to December 31st, 2016, at Kolda Regional Hospital Center. It included\nall patients admitted for HRP during this period. The studied parameters\nconcerned sociodemographic characteristics, gynecological obstetrical history;\nclinical, therapeutic and prognostic data (non-inclusion or exclusion criteria).\nThe data were collected from medical records, the delivery room and\nthe surgery room registers using a collection sheet developed for this purpose.\nThe statistical analysis of the variables studied was done with the software\nEpi-info 3.5. For the qualitative variables, we calculated the frequencies and\nfor the quantitative variables, we studied the distributions. Results: During\nthe study period, 15,343 were recorded deliveries and we carried out the diagnosis\nof HRP in 301 patients (1.97%). The average age of the patients was\n24 years with an average parity of 4.8 deliveries. Almost all the patients\n(87.5%) were evacuated and half had delivered by caesarean section. Maternal\nand fetal deaths were 7% and 72.1%, respectively. Uterine atony accounted\nfor 21.2% of complications. One third of the cases of uterine atony had resulted\nin a hysterectomy. The average duration of hospitalization was 6 days.\nConclusion: The retro-placental hematoma is a serious medico-obstetric\nemergency. It is burdened with high maternal and fetal morbidity and mortality\nin developing countries.
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